Employment Application Form

Employee Information

Are you able to perform the essential function of the position with or without accommodations?
Yes
No

If necessary for the job, are you older than...
13
16
18
21

Are you legally eligible for employment in the U.S.?
Yes
No

Are you seeking a permanent position?
Yes
No

How long will you be able to work after you're notified to be hired

If necessary for the job, are you able to work overtime?
Yes
No

If necessary for the job, provide a valid Texas Driver's License?
Yes
No

If able to provide a valid Texas Driver's License, fill out the license info.
Type:
C
B
A
Endorsement:H Transport of Hazardous MaterialsN Use of Tank TrucksP Transport of PassengersS Use of School BusesT Towing Double or Triple TrailersX Hazardous and Tank Trucks

What period of the day do you prefer to work in?AnyDaysNightsSwingRotatingSplitsGraveyard

All Information is required

Employment History

Employment 1

Employer

Start Date:End Date:

Pay-rate:

Position title/duties, skills:

Supervisor:Telephone:

Reason For Leaving:

Employment 2

Employer

Start Date:End Date:

Pay-rate:

Position title/duties, skills:

Supervisor:Telephone:

Reason For Leaving:

Employment 3

Employer

Start Date:End Date:

Pay-rate:

Position title/duties, skills:

Supervisor:Telephone:

Reason For Leaving:

All Information is required

Education

High School

name:

Graduated:

College/University

name:

Years Completed:

Field of Study:

Graduate or Degree:

Business/Technical

name:

Years Completed:

Field of Study:

Graduate or Degree:

Additional Education

name:

Years Completed:

Field of Study:

Graduate or Degree:

Military

Are you a Veteran? If so, what was your duty or specialized training?

All Information is required

Skills & Qualifications

Are there any Qualification such as special skills, abilities or honors that should be considered?

What software, app, service, and equipment are you qualified to operate, specialize, or repair.

What licences or certifications do you have?

What are any human inderation skill--such as problom solving or foren laguage-- or any career/occupation you wish to bring the employer's attentions

All Information is required

References

List two personal references who are not relatives or former supervisors.

NameAddressPhone NumberOccupationYears Known

NameAddressPhone NumberOccupationYears Known

Emergency Contact

In a case of an accident or medical issues, please profide your perfered contact.

NamePhone 1Phone 2AddressRelationship

Information to the Applicant

As part of our procedure for processing your employment application, your personal and employment references my be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discarged from your job. You may make a written request for information derived from the checking of your references.
If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United Staes, Have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by this terms.